In this agreement the employee service provider promises to maintain worker's compensation insurance on the employees being provided, and further agrees that client shall have no liability for any contributions, taxes or assessments required to be paid or withheld for employees of provider, including but not limited to federal, state or local income, payroll expense, head tax or school board taxes, unemployment compensation, workers' compensation, disability, pension, retirement income security, Medicare, or Social Security.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.